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University of Colorado Skaggs School of Pharmacy Prerequisite Extension Request

CU Pharmacy allows candidates to complete a minimal amount of prerequisites over the summer semester with prior approval from the Department of Admissions. Prior approval must be sought by completing this request form and submitting by the deadline. Failure to meet any/all requirements of the Summer Extension Waiver will result in your application being withdrawn (and any offer of admission being rescinded). 



Approved By/Date
Denied By/Date
Date/Time
Name*

Course(s) Requesting an Extension

COURSE 1

Ex: University of Colorado
Ex: Biology I with Lab
Ex: BIO
Ex: 101
Ex: 4
Credit Hour Type (choose one)
Ex: Semester or Quarter

Course(s) Requesting an Extension

COURSE 2

Ex: University of Colorado
Ex: Biology I with Lab
Ex: BIO
Ex: 101
Ex: 4
Credit Hour Type (choose one)
Ex: Semester or Quarter

Course(s) Requesting an Extension

COURSE 3

Ex: University of Colorado
Ex: Biology I with Lab
Ex: BIO
Ex: 101
Ex: 4
Credit Hour Type (choose one)
Ex: Semester or Quarter
By checking each box, I agree to the following terms of the Prerequisite Extension Plan:*

Preferred Method: Electronically via SOP.OSSAPPS@CUANSCHUTZ.EDU

Other: via US Mail

University of Colorado Skaggs School of Pharmacy

Attn: Office of Student Services

V20-1116
12850 E Montview Blvd, Mail Stop C238
Aurora, CO 80045

By signing below, I confirm that I understand that failure to meet any of the parameters or deadlines may result in my offer of admission being rescinded, and accept these terms.

Use your mouse or finger to draw your signature above